Claims Resolution Specialist I Job at Baptist Health (Florida) (Jacksonville)

Claims Experience Specialist

The Claims Experience team is responsible for providing premium support for our ...

Location

Canada

Salary:

63000.00 CAD / Year

Airbnb

Expiration Date

Until further notice

Requirements

5+ years in a fintech or customer experience role
Minimum of 1+ years experience handling insurance claims, preferably including first and third party property damage claims
Proficiency in both English and in French (must be able to handle technical claims discussions in French)
Critical thinking skills with a proven track record in solving challenging customer problems and making claims decisions with consistency and fairness whilst adhering to policy terms and workflows
Strong verbal and written communication skills with experience interacting with customers through multiple channels including email, messaging and phone
Active listening skills to understand user needs and provide personalized recommendations and assistance
Ability to explain complex and sensitive issues to customers with confidence and clarity
Analytical skills with the ability to organize and work independently with rapidly changing priorities
Negotiation skills to ensure customer issues are resolved in a timely and efficient manner
Solution and outcome-oriented with an ability to balance fraud prevention alongside a positive user experience

Job Responsibility

Evaluate, investigate and resolve claims submitted across our AirCover products (including but not limited to Host Damage Protection claims) including claims of high value and complexity that require complex investigation and negotiations to reach satisfactory outcomes
Closely monitor for fraud detection and mitigate risks associated with bad actors to protect the Airbnb brand and community
Verify all relevant facts and evidence to determine case resolution outcomes whilst following internal policies and workflows
Go above and beyond to create personalized interactions and exceptional premium support throughout the end-to-end claims process, tailoring the experience offered whilst ensuring each user’s needs and preferences are met with the highest level of care and attention
Provide continuous education and guidance for users about our Aircover products, terms and policies to enable the seamless resolution of their requests
Work closely with stakeholders and third party claims administrators to align on case strategies and ensure a timely resolution is reached for our users
Communicate regularly with Supervisors and Manager to provide feedback on the status of claims
Maintain high levels of confidentiality whilst conducting investigations
Identify gaps in workflow, process or policy whilst striving to provide upward feedback as required to further improve the experience for our customers
Act as subject matter expert for change initiatives and/or cross functional projects taking place across the Aircover Scaled Ops and Optimization org, including assisting internal stakeholders to test, refine, ideate, and deploy new internal products and processes

What we offer

bonus
equity
benefits
Employee Travel Credits

Fulltime

Property Claims Specialist

We’re working with a global broker known for handling complex risk. They’re look...

Location

United Kingdom , Leeds

Salary:

40000.00 GBP / Year

Lawes Consulting Group

Expiration Date

Until further notice

Requirements

Proven track record of managing claims end-to-end
Familiar with domestic and/or commercial property policies
Experience with CMS platforms and Microsoft Office

Job Responsibility

Manage a portfolio of property claims from notification to resolution
Accurately assess policy coverage and determine liability
Liaise with loss adjusters, contractors, and customers
Ensure claims are settled efficiently, fairly, and within SLA
Maintain clear, accurate, and professional documentation
Escalate complex cases as needed, supporting a team-focused approach
Handle incoming claims and guide policyholders through the process
Investigate commercial property damage claims
Communicate regularly with stakeholders to keep claims moving
Collaborate with internal teams (underwriting, risk, customer care)

Fulltime

Claims Experience Specialist

The Claims Experience team is responsible for providing premium support for our ...

Location

Japan

Salary:

Not provided

Airbnb

Expiration Date

Until further notice

Requirements

5+ years in a fintech or customer experience role
Minimum of 1+ years experience handling insurance claims, preferably including first and third party property damage claims
Critical thinking skills with a proven track record in solving challenging customer problems and making claims decisions with consistency and fairness whilst adhering to policy terms and workflows
Strong verbal and written communication skills with experience interacting with customers through multiple channels including email, messaging and phone
Active listening skills to understand user needs and provide personalized recommendations and assistance
Ability to explain complex and sensitive issues to customers with confidence and clarity
Analytical skills with the ability to organize and work independently with rapidly changing priorities
Negotiation skills to ensure customer issues are resolved in a timely and efficient manner
Solution and outcome-oriented with an ability to balance fraud prevention alongside a positive user experience
Calm and Empathetic with ability to adapt to any situation by personalizing responses and educating our community whilst remaining level headed in challenging situations

Job Responsibility

Evaluate, investigate and resolve claims submitted across our Aircover products (including but not limited to Host Damage Protection claims) including claims of high value and complexity that require complex investigation and negotiations to reach satisfactory outcomes
Closely monitor for fraud detection and mitigate risks associated with bad actors to protect the Airbnb brand and community
Verify all relevant facts and evidence to determine case resolution outcomes whilst following internal policies and workflows
Go above and beyond to create personalized interactions and exceptional premium support throughout the end-to-end claims process, tailoring the experience offered whilst ensuring each user’s needs and preferences are met with the highest level of care and attention
Provide continuous education and guidance for users about our Aircover products, terms and policies to enable the seamless resolution of their requests
Work closely with stakeholders and third party claims administrators to align on case strategies and ensure a timely resolution is reached for our users
Communicate regularly with Supervisors and Manager to provide feedback on the status of claims
Maintain high levels of confidentiality whilst conducting investigations
Identify gaps in workflow, process or policy whilst striving to provide upward feedback as required to further improve the experience for our customers
Act as subject matter expert for change initiatives and/or cross functional projects taking place across the Aircover Scaled Ops and Optimization org, including assisting internal stakeholders to test, refine, ideate, and deploy new internal products and processes

Fulltime

Manager, R&D Claim Enquiry & Resolution

This is a critical, high-impact role responsible for safeguarding the claims of ...

Location

United Kingdom , London

Salary:

Not provided

EmpowerRD

Expiration Date

Until further notice

Requirements

Proven experience (3+ years) in UK R&D Tax Relief, with significant exposure to managing and successfully resolving HMRC enquiries or compliance checks
Strong technical understanding of R&D tax legislation (including SME and RDEC schemes) and the Department for Science, Innovation and Technology (DSIT) guidelines on R&D for tax purposes
Demonstrable experience in managing complex projects or a high-volume case portfolio simultaneously
Excellent written and verbal communication skills, specifically the ability to articulate complex technical and financial concepts to both HMRC and non-tax professionals
Strong commercial acumen and a pragmatic approach to dispute resolution

Job Responsibility

Manage the end-to-end portfolio of all active HMRC R&D tax credit enquiries, ensuring all statutory deadlines and internal SLAs are met
Develop, implement, and execute robust enquiry defence strategies for complex claims, focusing on technical and financial justifications in line with UK R&D legislation (CTA 2009/HMRC Guidelines)
Own and lead direct written and verbal correspondence and negotiations with HMRC caseworkers (ISBC/WMBC/Large Business Compliance Teams) to achieve timely and favourable closure notices
Review and quality-assure all documentation and supporting evidence (technical narratives, project costing, payroll, contracts) provided to HMRC to ensure it is clear, comprehensive, and addresses specific compliance risks
Manage and cultivate a flexible bank of external expert contractors (e.g., specialist engineers, sector-specific consultants, legal counsel) who can provide specialised technical evidence and support during enquiries
Define scopes of work, manage budgets, and oversee the output of all third-party experts to ensure their contribution aligns with the overall resolution strategy
Lead the internal feedback loop by analysing trends, common errors, HMRC concerns, and legislative risks identified during enquiries
Develop and deliver training sessions to the Claim Delivery and Sales teams, embedding new learnings and best practices back into our claims process and technology product
Proactively refine and update internal methodology and technical guidance to mitigate future enquiry risk and ensure all new claims are resilient and compliant
Support in reviewing technical narratives of ongoing claims to align with enquiry learnings

What we offer

Competitive salary
generous holiday allowance
pension contribution
private healthcare
a commitment to continuous professional development

Fulltime

Medical Billing Specialist

We are looking for a detail-oriented Medical Billing Specialist to join a team i...

Location

United States , King of Prussia

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 1 year of experience in medical billing, claims, or collections
Proficiency in accounting software systems and electronic health record (EHR) systems
Familiarity with Medicaid processes and commercial insurance claims
Strong understanding of accounts receivable, denial management, and appeals
Experience working with billing and authorization functions
Ability to accurately input and manage billing data
Excellent communication skills to collaborate with team members and external payors
Knowledge of compliance policies related to medical billing and collections

Job Responsibility

Process and submit primary and secondary claims for both commercial insurance and Medicaid
Investigate and resolve claim denials, performing appeals as necessary to ensure proper reimbursement
Manage accounts receivable by following up on claims through resolution, including correcting billing errors and addressing rejections
Input and review billing data for accuracy, ensuring compliance with company policies and procedures
Collaborate with the Billing Manager and clinic teams to ensure accurate and timely billing
Track and verify Medicaid status for clients while maintaining relationships with payors to facilitate successful claims processing
Assist intake teams with Medicaid documentation for new clients and those requiring reassessment
Utilize various insurance portals and systems, including Waystar, to handle denial responses and claims follow-ups
Ensure adherence to compliance standards in all billing and collections activities
Perform other tasks as assigned by the Billing Manager or Director

What we offer

Medical insurance
Vision insurance
Dental insurance
Life insurance
Disability insurance
401(k) plan

Fulltime

New

Claims Resolution Representative III

The Claims Resolution Representative III is responsible for working across the p...

Location

United States of America , Rochester

Salary:

19.62 - 26.49 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

Associate degree and 2 years of related relevant experience
or equivalent combination of education and/or experience
Excellent problem-solving skills
Excellent communication skills
Excellent customer service skills

Job Responsibility

Follows department policies and procedures and maintains and exercises comprehensive knowledge of insurance company billing requirements and regulations to research and resolve unpaid accounts receivable
Follows up on multi-faceted denials through review of remittances (EOBs), insurance correspondence, rejections
Research claims, identify problems, and take appropriate action to assure claim resolution
Responds to all billing-related inquiries from colleagues, departments, patients, and payors in a timely and professional manner
Communicates any missing/incomplete information to providers and department administrative support staff to ensure accurate billing
Communicates with insurance representatives through telephone calls, payer website, and written communication to ensure accurate processing of claims
Collaborate with appropriate departments to generate a detailed rational for appeals and grievances to the insurance companies
Keeps management informed of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding
Escalates system issues preventing claims submission and follow-up for review and resolution
Collaborates with Claim Edit Specialists and Patient Medical Billing Specialists assigned to pre claim WQ’s to identify opportunities for improvement in clean claims rate

Fulltime

Complex Claims Manager

The AirCover team is charged with ideating, building, launching, and managing th...

Location

United States

Salary:

100000.00 - 115000.00 USD / Year

Airbnb

Expiration Date

Until further notice

Requirements

Analytical: Possess excellent analytical and problem-solving skills, allowing you to navigate Complex and Large Loss claims identifying the Risk and Exposure to Airbnb
Strong knowledge complex complex resolution: Understand techniques, investigative methodologies, and legal aspects related to complex, severe claims resolution
Strong communication: Strong verbal and written communication skills, with the ability to explain complex topics to diverse audiences. Skilled in presenting complex and sensitive customer issues, with the ability to analyze large data sets and draw reasonable conclusions
Influence Airbnb cross-functional teams globally: Proven ability to collaborate effectively across disciplines, regions, and seniority levels. Strong negotiating skills and experience in communicating recommendations to both internal and external stakeholders
Judgement
Proactively work towards achieving a fair and suitable resolution for claims in a timely manner by employing effective conflict resolution strategies
Evaluate and interpret policy language and relevant case law alongside specific loss details to make informed coverage decisions
Coordinate loss investigations with external experts across various exposures and manage the adjustment process until final resolution
Determine liability swiftly and judiciously based on available information, showcasing effective critical and strategic thinking along with sound decision-making
Be an advocate of high quality standards, innovation, resolution conflict and customer experience excellence

Job Responsibility

Safeguard the integrity of our Aircover platform by effectively identifying, investigating, and managing the risk and mitigation strategies in resolution of Complex and Large Loss claims
Manage partners to influence prioritization, drive accountability, deliver improvements, and scale changes on claims which impact Airbnb
Work with internal and external partners to influence prioritization, drive accountability, and deliver improvements
Work closely with cross-functional teams to manage emerging risks / threats while enabling business growth in various markets
Identify intelligence / risk gaps and work with other internal risk management teams, third party adjusters, our partners, Platform Product Management, Global Crisis Management, Community support, Policy, Privacy Legal teams to strengthen Airbnb’s platform
Report at Monthly, Quarterly and Annual Business Reviews for your area
Serve as a thought leader with stakeholders such as Trust, Legal, Privacy, Safety, Product Management, Policy, and understand how the policy/product roadmap impacts risk mitigation of emerging threats
Management, Policy, and understanding how the policy/product roadmap impacts risk and exposure mitigation
Build partnerships and is responsible for engaging in the Large Loss Claim reviews with our insurers on a monthly / quarterly basis depending upon the insurer/market
Ensure we are managing insurers claim handling and potential coverage/relationship issues as well as material reserve changes that could impact Airbnb and the Captive

What we offer

Bonus
Equity
Benefits
Employee Travel Credits

Fulltime

Construction Disputes Senior Associate

A top 50 leading UK law firm is seeking a talented Senior Associate to join thei...

Location

United Kingdom , Greater London

Salary:

95000.00 - 120000.00 GBP / Year

Douglas Scott

Expiration Date

Until further notice

Requirements

A strong academic background and at least 4 years of PQE in construction disputes or professional indemnity claims
Experience in policy interpretation and a solid understanding of court and dispute resolution processes
Excellent drafting, negotiation, and communication skills
A proactive, team-focused approach and an enthusiasm for client engagement and business development

Job Responsibility

Defend professional indemnity claims against construction professionals, main contractors, and other professionals
Advise clients on insurance policy coverage and interpretation, including complex wording issues
Provide specialist advice on claims defense strategies and scope of policy cover
Work closely with experienced partners and a dynamic team in a collaborative environment

What we offer

A competitive salary and comprehensive benefits package
Recognition as one of the UK’s best workplaces for over 20 years, with Platinum Investors in People status
Opportunities for professional growth, flexible working arrangements, and a strong emphasis on work-life balance
A firm-wide commitment to diversity, sustainability, and innovation

Fulltime

Claims Resolution Specialist I

Baptist Health (Florida)

Location:
United States , Jacksonville

Category:
Finance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
February 16, 2026

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Claims Resolution Specialist I

Baptist Health (Florida)

Location:United States , Jacksonville

Category:Finance

Contract Type:Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:February 16, 2026

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Location:
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Job Posted:
February 16, 2026